MR. PATRICK JON STEPHENS (NPI# 1205038510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205038510 |
| Entity Type | Individual |
| Full Name | MR. PATRICK JON STEPHENS |
| Credential | CADC I |
| Practice Address |
3737 Portland Rd Ne Salem OR 97303-2511 |
| Mailing Address |
359 Owens St S # 18 Salem OR 97302-4264 |
| Practice Telephone | 5033629957 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881023497 | Patrick Stephens | Dentist | 7 Carl Midway Church Rd, Auburn, GA 30011-3439 | 2013-11-04 |
| 1427291137 | Patrick Randall Stephens | Counselor | 15805 Baylis Street, Detroit, MI 48238 | 2009-04-10 |
| 1598231318 | Patrick Stephens | Anesthesiologist Assistant | 919 E 32nd St, Austin, TX 78705-2703 | 2018-10-18 |
| 1669571196 | Patrick Howard Stephens | Social Worker | 620 Gallatin Pike S, Madison, TN 37115-4013 | 2006-09-21 |
| Street Address |
3737 PORTLAND RD NE |
| City | SALEM |
| State | OR |
| Zip Code | 97303-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689890493 | Marcus Eric Berglund | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97303-2511 | 2007-04-18 |
| 1841824240 | Paola Ramirez Del Valle | Community Health Worker | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-25 |
| 1255962684 | Loren Calkins | Marriage & Family Therapist | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2020-02-04 |
| 1659939791 | Laurel Becker | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-06-04 |
| 1386202067 | Patricia Duncan | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-05-29 |
| 1992264311 | Valerie Edwards | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2019-03-15 |
| 1487146239 | Hector Virgen-marquez | Case Manager/Care Coordinator | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-06 |
| 1669964680 | Mark Beach | Behavior Technician | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-06-05 |
| 1780180141 | Kimberly J Moore | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| 1073019436 | Tracy L Young | Respite Care | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2018-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978880 | Deirdre Jean Miller | Counselor | 1101 N Jim Day Rd Ste 109, Salem, IN 47167-5201 | 2020-10-01 |
| 1134736168 | Melissa Thi Lu | Counselor | 2045 Silverton Rd Ne Ste 2100, Salem, OR 97301-0100 | 2020-09-24 |
| 1841805959 | Korben J Chesnut-petry | Counselor | 1325 Commercial St Se, Salem, OR 97302-4205 | 2020-09-15 |
| 1598383846 | Jorge Montejano | Counselor | 223 Commercial St Ne, Salem, OR 97301-3411 | 2020-07-13 |
| 1154956837 | Bobbie J Dawson | Counselor | 215 Barrs Ln, C/o Dawson, Salem, WV 26426-6224 | 2020-03-03 |
| 1902457773 | Jorge Arredondo | Counselor | 16 Heritage Dr Apt 15, Salem, MA 01970-2034 | 2019-09-24 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659866911 | Chakra LLC | Counselor | 161 High St Se Ste 209, Salem, OR 97301-3693 | 2018-06-28 |
| 1346731114 | Robert Bathke | Counselor | 525 Ferry St Se Ste 203, Salem, OR 97301-3743 | 2018-05-28 |
| 1316453186 | Melody Sue Nova | Counselor | 2045 Silverton Rd Ne Ste A, Salem, OR 97301-0100 | 2017-12-15 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.